Last updated May 7, 2026
Key finding
A 6-month study in 46 children and adolescents with type 1 diabetes found that a remote multiprofessional educational program improved adherence to carbohydrate counting but did not significantly improve HbA1c or quality of life.
This study tested a remote educational program with a multidisciplinary team for children and adolescents with type 1 diabetes. After 6 months, the program helped improve carbohydrate counting skills but failed to significantly improve blood sugar control or quality of life.
Quick read
The essential study design details in one scan.
EvidenceScore™
Moderate
Study type
Randomized Controlled Trials (RCTs)
Follow-up
Medium-Term (3–12 mo)
Risk of bias
Some Concerns
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Plain-language summary
A plain-language read of the study’s main message and where it applies.
Study focus
A 6-month study in 46 children and adolescents with type 1 diabetes found that a remote multiprofessional educational program improved adherence to carbohydrate counting but did not significantly improve HbA1c or quality of life.
Published in
Publication details and source links for this paper.
Fritz CK, de Leão AAP, Sbalqueiro FVF, et al. Evaluation of the quality of life of children and adolescents with type 1 diabetes mellitus before and after an intervention with a remote multiprofessional educational program. J Pediatr (Rio J). 2026;102(3):101537. doi:10.1016/j.jped.2026.101537
↑ Carbohydrate counting adherence significantly increased in the intervention group (p<0.001)
→ HbA1c showed no significant change between groups (IG: 8.9%→9.4%, CG: 9.4%→9.6%)
→ Quality of life showed no significant difference between groups
Evidence network
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This study contributes evidence to Remote multiprofessional educational program and HbA1c, Quality of life, Time in range, and 1 more.
This study contributes evidence to
Primary intervention
Remote multiprofessional educational program
Primary outcomes
Primary intervention
Primary outcomes
Intervention and outcome relationships this study adds to the evidence network.
Editorial context
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Evidence network role
This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.
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Evidence pairs
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Contributes evidence
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Primary evidence
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Core evidence
The primary outcomes reported in this study.
Remote multiprofessional educational program → HbA1c
Remote multiprofessional educational program → HbA1c
Remote multiprofessional educational program → Quality of life
Remote multiprofessional educational program → Quality of life
Remote multiprofessional educational program → Time in range
Remote multiprofessional educational program → Time in range
Remote multiprofessional educational program → Treatment adherence
Remote multiprofessional educational program → Treatment adherence
Evidence Library
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Children and adolescents aged 1-18 years with type 1 diabetes and suboptimal glycemic control (HbA1c above recommended levels). Results are most relevant to similar populations in Brazil and other Latin American settings.
This was a small, open-label study with relatively short follow-up. The findings may not apply to youth with well-controlled diabetes, those using insulin pumps, or populations in settings with different healthcare infrastructure. Both groups received CGM, which may have reduced the apparent benefit of the educational program.
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Relationships organized using the Dediabetes Evidence Intelligence™ framework.
This study contributes to evidence on Diabetes Self-Management Education and Support (DSMES) Programs and HbA1c, Diabetes Self-Management Education and Support (DSMES) Programs and Quality of Life Outcomes.
This study contributes to the evidence on the following intervention-outcome relationships.
Behavioral & Lifestyle
Behavioral & Lifestyle
Curated evidence collections and hubs this study is part of.
All studies on Diabetes Self-Management Education and Support (DSMES) Programs
Contributes to Diabetes Self-Management Education and Support (DSMES) Programs evidence base.
All studies measuring HbA1c
Measures HbA1c as a key outcome.
All studies measuring Quality of Life Outcomes
Measures Quality of Life Outcomes as a key outcome.
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5 results
3 results
5 results
5 results
3 results
Generated from the study's connected evidence using Evidence Intelligence™.
Diabetes Self-Management Education and Support (DSMES) Programs appears to improve Quality of Life Outcomes.
ConsistencyScore™: Results are consistent across studies.
Ranked evidence signals
Quality of life
EvidenceScore™ Strong | EvidenceScore™ 79.0 | weak positive | ConsistencyScore™ Mixed | 1 study
Why this answer: This answer is based on 10 supporting studies with consistent results and a positive effect signal.
Limitations
Diabetes Self-Management Education and Support (DSMES) Programs may improve HbA1c.
ConsistencyScore™: Results are generally consistent across studies.
Ranked evidence signals
HbA1c
EvidenceScore™ Strong | EvidenceScore™ 82.6 | moderate positive | ConsistencyScore™ Consistent | 1 study
Why this answer: This answer is based on 30 supporting studies with generally consistent results and a positive effect signal.
Limitations
Diabetes Self-Management Education and Support (DSMES) Programs may improve Treatment Adherence.
ConsistencyScore™: Results are generally consistent across studies.
Ranked evidence signals
Treatment adherence
EvidenceScore™ Moderate | EvidenceScore™ 69.0 | moderate positive | ConsistencyScore™ Mixed | 1 study
Why this answer: This answer is based on 9 supporting studies with generally consistent results and a positive effect signal.
Limitations
Diabetes Self-Management Education and Support (DSMES) Programs may improve CGM Time in Range.
ConsistencyScore™: Results are mixed and should be interpreted cautiously.
Ranked evidence signals
Time in range
EvidenceScore™ Moderate | EvidenceScore™ 69.0 | moderate positive | ConsistencyScore™ Mixed | 1 study
Why this answer: This answer is cautious because the available studies report mixed findings.
Limitations
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